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NCJ Number: 67456 Find in a Library
Title: CRANIAL COMPUTED TOMOGRAPHY (SCANNER) AND BATTERED CHILDREN
Journal: BULLETIN MEDICINE LEGALE TOXICOLOGIE  Volume:22  Issue:4  Dated:(JULY/AUGUST 1979)  Pages:403-411
Author(s): C PIEDELIEVRE; G GARDEUR; R ALLAL; R MESSIMY; J METZGER
Corporate Author: Masson et Compagnie
France
Date Published: 1979
Page Count: 9
Sponsoring Agency: Masson et Compagnie
Paris, France
Type: Report (Study/Research)
Format: Article
Language: French
Country: France
Annotation: OBSERVATIONS CONCERNING THE INJURIES OF 13 ABUSED CHILDREN DETECTED THROUGH CRANIAL COMPUTED TOMOGRAPHY ARE REPORTED.
Abstract: INTERCRANIAL LESIONS IN ABUSED CHILDREN ARE DIFFICULT TO DETECT DUE TO THE ABSENCE OF EXTERNAL LESIONS. CRANIAL COMPUTED TOMOGRAPHY IS AN IMPORTANT DEVICE FOR DETECTING SUCH INJURIES WHICH CAN LEAD TO SERIOUS DAMAGE OR DEATH. THE 13 ABUSED CHILDREN WHO WERE SCANNED FOR INJURIES WERE ALL AT LEAST 2 YEARS OLD. IN FOUR OF THE CASES, NO EXTERNAL TRAUMA WAS DETECTIBLE ON FACE AND BODY. IN THE REMAINING CASES THE CLASSICAL INDICATIONS OF CHILD ABUSE (FRACTURES, SKIN LACERATIONS) WERE PRESENT. IN FIVE CASES, CRANIAL COMPUTED TOMOGRAPHY SHOWED CRANIAL OEDEMA OR CRANIAL SWELLING; ONE CASE ALSO HAD CONTUSIONS OF THE TRUNK ACCOMPANIED BY OEDEMA. SEVEN CASES HAD SUBDURAL HEMATOMA. THESE FIGURES SUPPORT THE RESULTS OF AN AMERICAN STUDY RECENTLY CONDUCTED AT THE PHILADELPHIA CHILDREN'S HOSPITAL OF 26 ABUSED CHILDREN. WITH YOUNG CHILDREN, THE HEAD IS PARTICULARLY VULNERABLE TO INJURIES, AND SUBDURAL HEMATOMA FOLLOWED BY SERIOUS AFTEREFFECTS ARE FREQUENT. SINCE HEAD INJURIES MAY BE PRESENT WITHOUT EXTERNAL LESIONS, CRANIAL COMPUTED TOMOGRAPHY SHOULD BE APPLIED ROUTINELY WITH ABUSED CHILDREN. THE ARTICLE CONTAINS 12 REFERENCES AND REPRODUCTIONS OF THE SCANNER PHOTOGRAPHS. --IN FRENCH (SAJ)
Index Term(s): Abused children; Assault and battery; Child abuse; Computers; Medical research; Victim medical assistance
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http://www.ncjrs.gov/App/publications/abstract.aspx?ID=67456

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